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97152 · Virginia · every payer

What every payer pays for 97152 in Virginia

Across 7 commercial payers in Virginia, the middle payer's median for 97152 (behavior assessment help from one technician) is $29.16 per 15 min. Virginia Medicaid's fee-for-service rate, $15.00 per 15 min, is 49% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$29.16per 15 min
Virginia Medicaid
$15.00
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Payer mix

97152 in Virginia, by payer type

Virginia Medicaid$15.00
Commercial (7 payers)$29.16
UnitedHealthcare$57.22
Aetna$15.55
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97152 rate in Virginia

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$57.22 per 15 min$228.88155
AetnaCommercial$15.55 per 15 min$62.2018
See every payer's 97152 rate in Virginia

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97152 in Virginia?

The median of 7 payers' medians is $29.16 per 15 min, from 230 published rates in the October 2026 files.

How does Virginia Medicaid compare with commercial insurance for 97152?

Virginia Medicaid pays $15.00 per 15 min, 49% below the commercial median.

What does UnitedHealthcare pay for 97152 in Virginia?

UnitedHealthcare's median is $57.22 per 15 min, from 155 rates and 251 providers.

What does Aetna pay for 97152 in Virginia?

Aetna's median is $15.55 per 15 min, from 18 rates and 145 providers.